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Procedure: Liver Transplant

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Total 21872 results found since Jan 2013.

Normothermic extracorporeal human liver perfusion following donation after cardiac death.
Authors: Bellomo R, Marino B, Starkey G, Wang BZ, Fink MA, Zhu N, Suzuki S, Houston S, Eastwood G, Calzavacca P, Glassford N, Chambers B, Skene A, Schneider AG, Jones D, Hilton A, Opdam H, Warrillow S, Gauthier N, Johnson L, Jones R Abstract Liver transplantation is a major life-saving procedure and donation after cardiac death (DCD) has increased the pool of potential liver donors. However, livers procured after DCD are at increased risk of primary graft dysfunction and biliary tract ischaemia. Normothermic extracorporeal liver perfusion (NELP) may increase the ability to protect, evaluate and, in future, transpla...
Source: Critical Care and Resuscitation - November 25, 2014 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Acute liver failure
This article provides a practical approach to the diagnosis and management of critically ill patients with ALF.
Source: Anaesthesia and intensive care medicine - February 27, 2015 Category: Anesthesiology Source Type: research

Agreement between radial and femoral arterial blood pressure measurements during orthotopic liver transplantation.
CONCLUSION: Radial artery SAP underestimates femoral artery measurements significantly but unpredictably. As femoral measurement is more likely to reflect central arterial pressure, radial SAP measurement is not reliable in adults undergoing OLTx. PMID: 26017127 [PubMed - in process]
Source: Critical Care and Resuscitation - May 31, 2015 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Private Health Insurance Organizations Shouldn ’t Dictate Quality of Care
By LYNLY JEANLOUIS Health insurance companies are standing in the way of many patients receiving affordable, quality healthcare. Insurance companies have been denying patient claims for medical care, all while increasing monthly premiums for most Americans. Many of the nation’s largest healthcare payers are private “for-profit” companies that are focused on generating profits through the healthcare system. Through a rigorous approval/denial system, health insurance companies can dictate the type care patients receive. In some cases, this has resulted in patients foregoing life-saving treatments or procedures. &nbs...
Source: The Health Care Blog - May 7, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Health insurance Lynly Jeanlouis private health insurance Quality improvement Quality of care Source Type: blogs

Continuous renal replacement therapy and its impact on hyperammonaemia in acute liver failure.
CONCLUSION: In Australian and New Zealand patients with ALF, CRRT is typically started early, before Stage 3 AKI or severe acidaemia, and in the presence hyperammonaemia. In these more severely ill patients, CRRT use was associated with prevention of extreme hyperammonaemia, which in turn, was associated with increased transplant-free survival. PMID: 32389108 [PubMed - in process]
Source: Critical Care and Resuscitation - May 12, 2020 Category: Intensive Care Tags: Crit Care Resusc Source Type: research

Clinical aspects of hepatic disease
Publication date: Available online 27 November 2014 Source:Anaesthesia & Intensive Care Medicine Author(s): Czarina C.H. Leung , Karl K. Young Liver disease has a high prevalence in all parts of the world. Patients with advanced liver disease have poor outcome after surgery. Prognostic scoring systems help to identify patients at high risk. Chronic liver disease is associated with typical extra-hepatic manifestations, resulting from failure to clear endogenous vasodilators, splanchnic vasodilation, high cardiac output and decreased central blood volume. Some patients may develop complications, including hepatoren...
Source: Anaesthesia and intensive care medicine - December 4, 2014 Category: Anesthesiology Source Type: research

Postsurgical diaphragmatic herniation: A rare delayed complication of pediatric intraabdominal surgery
We present two pediatric cases of spontaneous diaphragmatic herniation as complications of two different abdominal surgeries: pancreatic pseudocyst resection with splenectomy and liver transplantation.
Source: Journal of Pediatric Surgery - December 30, 2015 Category: Surgery Authors: Milad Yazdani, Ellen Park, Unni Udayasankar Tags: Pediatric Surgical Images Source Type: research

Anaesthesia and intensive care for adult liver transplantation
Publication date: Available online 8 September 2018Source: Anaesthesia & Intensive Care MedicineAuthor(s): Craig Beattie, Michael A. GilliesAbstractThis review describes the preoperative assessment and listing of the patient for liver transplantation and some of the perioperative challenges specific to this group of patients. The principles of the postoperative management in the intensive care unit are discussed as well as some of the signs of early graft dysfunction. Increasingly complex patients with advanced liver disease are receiving grafts from more marginal donors and this can present significant challenges to the t...
Source: Anaesthesia and intensive care medicine - September 9, 2018 Category: Anesthesiology Source Type: research

Pain and self-care behaviours in adult patients with end-stage liver disease: a longitudinal description.
Authors: Hansen L, Leo MC, Chang MF, Zucker BL, Sasaki A Abstract This prospective descriptive study investigated pain characteristics in 20 outpatients with endstage liver disease (ESLD) who were approaching the end of life, described variability in pain between and within patients, and described the pharmacological and nonpharmacological pain management strategies used. The instruments we utilized were the Brief Pain Inventory (BPI) and the self-care behaviour (SCB) log for pain. Data were collected once a month over a six-month period. BPI severity of, and interference from pain mean scores ranged from 5.52 to 6...
Source: Journal of Palliative Care - June 3, 2015 Category: Palliative Care Tags: J Palliat Care Source Type: research

End-of-life care decisions using a Korean advance directive among cancer patient-caregiver dyads.
Abstract OBJECTIVE: The Korean advance directive (K-AD) comprises a value statement, treatment directives, preferences for cardiopulmonary resuscitation (CPR), artificial ventilation, tube feeding, and hospice care, as well as a proxy appointment. The K-AD can facilitate a patient's decision making with respect to end-of-life (EoL) care. The present study aimed to examine the extent to which patient-caregiver dyads would use the K-AD and agree on EoL care decisions. METHODS: Using a descriptive study design, 81 cancer patients were invited to participate. The final sample consisted of 44 patient-caregiver dya...
Source: Palliative and Supportive Care - November 1, 2016 Category: Palliative Care Authors: Kim S, Koh S, Park K, Kim J Tags: Palliat Support Care Source Type: research

Liver Transplantation: A Potential Cure for Hepatogenous Diabetes? Diabetes Care 2013;36:e97.
PMID: 25538316 [PubMed - in process]
Source: Diabetes Care - January 1, 2015 Category: Endocrinology Authors: Pallayova M, Wilson V, John R, Taheri S Tags: Diabetes Care Source Type: research

Addiction medicine ethics: relapse, no lapse and the struggle to treat addicts like everyone else
Abstract Two case studies are presented as a focus for discussion of ethics in addiction medicine. The first is that of the alcohol‐dependent patient who receives a liver transplant. The second is that of a heroin‐dependent patient who continues to inject himself while in a general medical ward. I make some comments about the obligations of doctors to treat those who cause harm to themselves as they would treat those who are ‘not responsible’.
Source: Internal Medicine Journal - October 9, 2017 Category: Internal Medicine Authors: Charles Douglas Tags: Addiction Medicine: Clinical & Ethical Perspectives Source Type: research

Weekly Overseas Health IT Links – 26th March, 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.-----https://mhealthintelligence.com/news/55-of-telehealth-providers-frustrated-with-overblown-patient-expectations55% of Telehealth Providers Frustrated With Overblown Patient ExpectationsProviders also cited their ability to provide quality care and technical difficulties as among their top frustrations with telehealth, a new survey shows.ByAnuja VaidyaMarch 18, 202...
Source: Australian Health Information Technology - March 26, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs

EchoNous KOSMOS 3-in-1 Ultrasound, Electronic Stethoscope, and ECG Helps with COVID-19
EchoNous, a developer of novel ultrasounds, has found a way to leverage multiple critical clinical technologies within a single device. The result is KOSMOS, a handheld 3-in-1 device consisting of an ultrasound, electronic stethoscope, and an ECG, al...
Source: Medgadget - September 21, 2020 Category: Medical Devices Authors: Alice Ferng Tags: Cardiology Critical Care Diagnostics Exclusive Informatics Medicine Public Health Source Type: blogs

The Ethics of Keeping Alfie Alive
By SAURABH JHA Of my time arguing with doctors, 30 % is spent convincing British doctors that their American counterparts aren’t idiots, 30 % convincing American doctors that British doctors aren’t idiots, and 40 % convincing both that I’m not an idiot. A British doctor once earnestly asked whether American physicians carry credit card reading machines inside their white coats. Myths about the NHS can be equally comical. British doctors don’t prostate every morning in deference to the NHS, like the citizens of Oceania sang to Big Brother in Orwell’s dystopia. Nor, in their daily rounds, do they calculate opportun...
Source: The Health Care Blog - May 21, 2018 Category: Consumer Health News Authors: at RogueRad Tags: OP-ED Uncategorized AlfieEvans Source Type: blogs